Dr. Brannon Reed DDS

Ms*** experience in our dental office was not an issue until informed of her $deductible at checkoutMs*** presented her secondary insurance card at the time of her arrival which we proceeded to input into our system and called on her insurance to get her breakdown of
benefits as she was being evaluatedAt this time the dental office was aware that her insurance deductible was $which we then input into her treatment plan. *** was responsible for going over her treatment plan which was explained to Ms. *** in the operatory before the procedure started. She asked what her portion would be after the insurances. Ms*** was informed that per the treatment plan she was presented, her ESTIMATED patient portion was 0.00. At no point did staff state that treatment or total was free. *** asked if there were any other questions in regards to the treatment plan and Ms*** signed the consent for treatment. At no point did *** state “The insurance is paying for it all”. As far as Ms*** prior experience with no deductible before, it is the patient’s responsibility to know what their individual insurance plan consists of. The request to “waive” the $deductible in unethical in itself as that is what her insurance has dictated is her responsibility Per the insurance plan we are required by law to collect the deductible stated on the patients plan. All work on the treatment plan was completed in office up until seating the onlay, which is included in the initial fees (this is done after the lab processes the onlay). There was never a point where Ms*** left the office with “half” the work done. The office never asked for a “fee” to complete the work. We simply asked for the deductible to be met before we saw her at the next appointment to seat the onlay (as a consideration, deductibles are due at the time of initial treatment) In conclusion, *** spoke to Ms*** at great length to try and explain how insurance works and why we are not able to waive the $deductible. We have a contract with the insurance company that in order to activate the insurance plan the deductible needs to be met before we can bill the insurance company. The office is completely prepared and willing to give Ms*** the time she needs to be able to pay the $and complete the work as agreed

Ms. [redacted] experience in our dental office was not an issue until informed of her $50.00 deductible at checkout. Ms. [redacted] presented her secondary insurance card at the time of her arrival which we proceeded to input into our system and called on her insurance to get her breakdown of...

benefits as she was being evaluated. At this time the dental office was aware that her insurance deductible was $50.00 which we then input into her treatment plan.  [redacted] was responsible for going over her treatment plan which was explained to Ms. [redacted] in the operatory before the procedure started.  She asked what her portion would be after the 2 insurances.  Ms. [redacted] was informed that per the treatment plan she was presented, her ESTIMATED patient portion was 0.00.  At no point did staff state that treatment or total was free.  [redacted] asked if there were any other questions in regards to the treatment plan and Ms. [redacted] signed the consent for treatment.   At no point did [redacted] state “The insurance is paying for it all”.  As far as Ms. [redacted] prior experience with no deductible before, it is the patient’s responsibility to know what their individual insurance plan consists of.  The request to “waive” the $50.00 deductible in unethical in itself as that is what her insurance has dictated is her responsibility.  Per the insurance plan we are required by law to collect the deductible stated on the patients plan.  All work on the treatment plan was completed in office up until seating the onlay, which is included in the initial fees (this is done after the lab processes the onlay).  There was never a point where Ms. [redacted] left the office with “half” the work done. The office never asked for a “fee” to complete the work.  We simply asked for the deductible to be met before we saw her at the next appointment to seat the onlay (as a consideration, deductibles are due at the time of initial treatment).    In conclusion, [redacted] spoke to Ms. [redacted] at great length to try and explain how insurance works and why we are not able to waive the $50.00 deductible. We have a contract with the insurance company that in order to activate the insurance plan the deductible needs to be met before we can bill the insurance company.  The office is completely prepared and willing to give Ms. [redacted] the time she needs to be able to pay the $50.00 and complete the work as agreed.